Provider Demographics
NPI:1578102240
Name:HOLLAND, ARIEL R (RPH)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:R
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ARIEL
Other - Middle Name:
Other - Last Name:HLAVATY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-9558
Mailing Address - Fax:
Practice Address - Street 1:3721 RIDGE MILL DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-9554
Practice Address - Country:US
Practice Address - Phone:614-293-6255
Practice Address - Fax:614-293-1456
Is Sole Proprietor?:No
Enumeration Date:2019-12-30
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26028418A183500000X
OH03440806183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist